Cognitive remediation in anorexia nervosa and related conditions: a systematic review

Eur Eat Disord Rev. 2014 Nov;22(6):454-62. doi: 10.1002/erv.2326. Epub 2014 Oct 3.

Abstract

Research evidence for cognitive remediation therapy's (CRT) effectiveness for anorexia nervosa (AN) has been gathering. This approach is also increasingly being implemented in other disorders including major depressive disorder, obsessive-compulsive disorder and autistic spectrum disorder that share commonalities with AN in neuropsychological profiles and clinical presentations. This systematic literature review identified and appraised the current evidence base to see whether evidence from related conditions could be integrated into the theoretical understanding of CRT for AN as well as future AN treatment developments and research. Overall, CRT studies in AN report promising findings, and CRT appears to be associated with improvements in set-shifting and in central coherence. Cognitive remediation approaches in other conditions also show promising evidence in associated improvements in areas of executive functioning and information processing; links are made between AN treatment and what future treatment developments could consider.

Keywords: anorexia nervosa; autistic spectrum disorder; cognitive remediation; mood; systematic review.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Anorexia Nervosa / complications
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy*
  • Body Mass Index
  • Cognition / physiology
  • Cognition Disorders / complications
  • Cognition Disorders / psychology
  • Cognition Disorders / therapy*
  • Cognitive Behavioral Therapy / methods*
  • Evidence-Based Medicine
  • Executive Function
  • Female
  • Humans
  • Neuropsychological Tests
  • Outcome Assessment, Health Care / statistics & numerical data*
  • Remedial Teaching / methods*